[隐匿性原发灶的颈部淋巴结转移性乳头状甲状腺癌的临床治疗]
[Clinical treatment of metastatic papillary thyroid carcinoma in cervical lymph nodal with occult primary sites].
作者信息
Pang Y J, Chen X H, Zhang J Y, Gao J L
机构信息
Department of Endocrinology, Kailuan General Hospital, North China University of Technology, Tangshan, 063000, China.
Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jul 5;31(13):1013-1016. doi: 10.13201/j.issn.1001-1781.2017.13.011.
To discuss the diagnosis, treatment and prognosis of metastatic papillary thyroid carcinoma in cervical lymph nodal with occult primary sites. The clinical data of 5 patients involved papillary thyroid carcinoma with cervical lymph nodal metastasis with occult primary sites from 2009 to 2015 were analyzed. According to preoperation examinations, two of them only underwent neck lymph node resection and three patients underwent asubtotal or total thyroidectomy plus neck lymph node dissection. All the pathological results showed that there were metastatic papillary thyroid carcinoma in cervical lymph nodal, but the primary sites of thyroid tissue were normal. After 1 to 7 year follow-up, there was no recurrence. Whether to take the thyroidectomy need to be carefully considered thyroidectomy in patients with metastatic papillary thyroid carcinoma in cervical lymph nodal with occult primary sites.
探讨隐匿性原发灶的颈部淋巴结转移性甲状腺乳头状癌的诊断、治疗及预后。分析2009年至2015年5例隐匿性原发灶的颈部淋巴结转移性甲状腺乳头状癌患者的临床资料。根据术前检查，其中2例仅行颈部淋巴结切除术，3例行甲状腺次全切除术或全切除术加颈部淋巴结清扫术。所有病理结果均显示颈部淋巴结有转移性甲状腺乳头状癌，但甲状腺组织原发部位正常。经过1至7年的随访，无复发。对于隐匿性原发灶的颈部淋巴结转移性甲状腺乳头状癌患者，是否行甲状腺切除术需谨慎考虑。
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